MAEDA VIETNAM CO.,LTD.

PROJECT : SPVB BN
NON-CONFORMANCE REPORT FOR CONSTRUCTION PJ CODE : 2014-21 REV :
BO CO S KHNG PH HP CHO THI CNG
REF : DATE : 2015/Feb.06

Construction/ Thi cng Mechanical/ C Electrical/ in

1. Details of nonconformity/ Chi tit s khng ph hp
Description/ M t Cause of nonconformity/ Nguyn nhn s KPH
- Safety net of steel structure rafter does not have hanger points -> safety net sags in the Human error Wrong information
middle Li con ngi Sai thng tin

- Vic treo li cu sinh do c s st khng sn xut mc treo dn n trng hp kh khn Material problem Setting out error
trong thi cng Vn vt liu Li t ra

Design problem Supervision problem

- ATAD khng xc nhn li thng tin vi MVC mc d mc treo trn kt cu dm, ko thp Vn thit k Vn gim st
l thit k mc nh Others:
- ATAD did not confirm with MVC about this problem although hanger point is default design Khc

Enclosures/ nh km :

Issued by: MR. NGUYEN VAN ANH SITE MANAGER 2015/FEB 06

Ban hnh bi
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy
2. Corrective / Remedial action/ Hnh ng khc phc/ chnh sa
Description/ M t Proposal treatment/ Phng php ngh
Repair
Use-as-is
Chp nhn nh hin thi Sa cha
- ATAD s dng dy thng ko cng li buc vo dm, ko thp.
- ATAD use cordage to stretch safety net and tie with steel rafter Rejected/Rework
T chi/ Lm li

Others/ Khc :
Document/ Method of remedial is required
Ti liu/Phng php chnh sa c yu cu
Yes/ C No/ Khng
Ref/ M s :
Expected date of completion:
Ngy hon thnh mong i

Proposed by Sub-Con.: MR. CAO VAN LANG Site Manager 2015/FEB 06

xut bi thu ph
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy

Approved by Main-Con.: MR. LE THANH DAT Safety Officer 2015/FEB 06

Ph duyt bi thu chnh
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy
3. Preventive action/ Hnh ng phng nga
Preventive action method is required
Description/ M t
Hnh ng phng nga c yu cu
- ATAD cam kt khng xy ra tnh trng thiu mc li chng ri trong nhng cng trnh sau. Yes/ C No/ Khng
Ref/ M s :
- ATAD cam kt kim tra hng xut xng theo ng thit k trc khi a n cng trnh.

Proposed by Sub-Con.: MR. CAO VAN LANG Site Manager 2015/FEB 06

xut bi thu ph
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy

Approved by Main-Con.: MR. LE THANH DAT Safety Officer 2015/FEB 06

Ph duyt bi thu chnh
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy
4. Closeout/ Kha s
Inspection record / Test result (attached)
Description/ M t
Bin bn kim tra/ Kt qu kim tra (nh km)

Actual date of completion:

Ngy hon thnh thc t

Proposed by Sub-Con.:
xut bi thu ph
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy

Approved by Main-Con.:
Ph duyt bi thu chnh
Name/ Tn Position/ Chc v Signature/ K tn Date/ Ngy

( TICK AS APPLICABLE ) INFO REF: F-M02-04A FORM REF: NCRC REV. : 00/2014/DEC.11
 MAEDA VIETNAM CO.,LTD.
PROJECT : SPVB BN
NON-CONFORMANCE REPORT FOR CONSTRUCTION PJ CODE : 2014-21 REV :
BO CO S KHNG PH HP CHO THI CNG
REF : DATE : 2015/Feb.06

Construction/ Thi cng Mechanical/ C Electrical/ in

BEFORE/ TRC
Description/M t : Safety net sags in the middle/ Li an ton b vng Photo No./S hnh nh :

Location/V tr : Line 20~line 21 / E ~ H Date/Ngy : 2015/FEB 06

PICTURES
(H 4.5 x W 6.75)

AFTER/ SAU
Description/M t : Photo No./S hnh nh :

Location/V tr : Date/Ngy :

PICTURES
(H 4.5 x W 6.75)